- City of New York (New York, NY)
- …is recruiting for one (1) Principal Administrative Associate II, to function as a Medicaid Consultant within the Central Intake Unit, who will: - Interpret ... TITLE. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to...Medicaid policies and procedures for assigned cases for individuals… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …a Pharmaceutical and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experience Experience Preferred: + Minimum 2+ ... Medicaid Claims Analyst Date: Dec 18, 2024 Location:...us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid … more
- VNS Health (Manhattan, NY)
- …analysis and interpretation designed to improve clinical outcomes. . Serves as consultant for unusual and difficult medical cases. Participates in the QARR/HEDIS ... Investigation Unit on issues related to Fraud, Waste, and Abuse of Medicare/ Medicaid services. + Collaborates with pharmacy services to review PBM activities and… more
- Deloitte (New York, NY)
- …Human Capital practice. Work you'll do As a Government Health Actuary - Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you will ... health plan/insurance company experience + 1 + years' experience with Medicaid managed care capitation rate development and/or fee-for-service rate development +… more
- City of New York (New York, NY)
- …with essential benefits such as Cash, Food and Rental Assistance as well as Medicaid . The Office of the Medical Director aims to improve the health and well-being ... one (1) City Medical Specialist (Per Diem) to function as a Medical Consultant who will: - Indirectly supervise contracted clinical staff, share policies and… more
- Molina Healthcare (Yonkers, NY)
- …urgency, communication and follow through to closure. * Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO contract ... compliance requirements that impact processes. * Facilitates and leads processes and activities to complete deliverables impacting assigned healthplans including, but not limited to, RFP Responses, audit response/coordination, and evaluation of new contract… more
- Hackensack Meridian Health (Hackensack, NJ)
- …ensure care planning and physician's orders are implemented. 27. Discuss with attending/ consultant any issues interfering with the progression of care. 28. Identify ... on medication as needed. 36. Obtain and Maintain Appropriate Medicare and Medicaid Certification for prescribing durable medical equipment (DME), home oxygen and… more
- Elevance Health (New York, NY)
- …metrics to track performance and goal achievement. + Serves as internal consultant relative to continuous improvement initiatives. + Identifies and develops plans to ... Coder (CPC) and or professional coding experience preferred. + Medicare/ Medicaid /Commercial/Exchange line of business experience. + Travels to worksite and… more